[The condition and tendencies of cervical carcinoma diagnostic in the Russian Federation].

The elimination of cervical cancer is one of the leading international public health problems that is associated with corresponding high morbidity and mortality among women of able-bodied and reproductive age. In the Russian Federation, in 2018, in more than 17.5 thousand women cervix malignant neoplasms were diagnosed and more than 6 thousand of them died. Cervical cancer is preventable disease that can be eliminated if the targets of the WHO Global Strategy to Eliminate Cervical Cancer as Public Health Issue will be achieved. The purpose of the study is to analyze indices of timely cervical cancer diagnostics in the Russian Federation and in its subjects in 2007-2018. Despite favorable trend of increasing of active detection of cervical cancer, this indicator (41.8%) continues to be low, both in the country in whole and in most of the subjects of the Russian Federation. The cervical cancer in situ stage is detected only in 25.3 cases per 100 cases of cervix cancer and stages I and II of disease are detected in 66.1% of cases. More than a third of all cases of cervical cancer (32.6%) are detected at III-IV stages of oncologic process. The percentage of patients died within the first year after cervical cancer was diagnosed decreased significantly from 19.0% in 2007 to 13.8% in 2018.

[The morbidity and mortality of cervix cancer in The Russian Federation in 2007-2018].

All around the world, about 570 000 of new cases of cervical cancer are diagnosed annually and more than 300 000 of women die of this pathology. In the Russian Federation, in 2018, more than 17 500 of new cases of cervical cancer were diagnosed and more than 6 000 of women died of this pathology. The purpose of the study was to analyze incidence and mortality of cervical cancer in 2007-2018. The analysis of incidence rates of cervical cancer in the Russian Federation in 2007-2018 established steady trend of increasing of incidence rate from 12.8 (2007) to 15.8 (2018). The incidence rate increased up to 26.6%. The increasing is most pronounced in the age groups of 35-39, 40-44 and 45-49 years. The analysis of dynamics of mortality rates established relative stability indices in 2007-2018 (5.11 and 5.07 in standardized rates per 100 000). The decrease of 2018 as compared to 2007 made up to 0.78%. In most age groups mortality rates are decreasing. However, significant increase of mortality rate in age group of 40-44 years was established amounted up to 25%.

[The Concept of Patient-Oriented Model of Organization of Medical Care].

The efficient and rational support of quality om medical care rendering is an important aspect of the system of organization of health care functioning. The study considers the development of concept of patient-oriented model of medical care rendering and also system analysis of main parameters of the model. The study was based on the analysis of publications and normative legislative documents of Minzdrav of Russia and the Federal Foundation of mandatory medical insurance, control boards of health care and territorial Foundations of mandatory medical insurance, subjects of the Russian Federation. The comprehensive analysis resulted in formulation of main parameters and propositions of the patient-oriented model. The concept of related model of organization of medical care rendering to population was presented too. The implementation of the proposed concept in case of its appropriate implementation will favor amelioration of clinical outcomes, increasing of satisfaction and compliance of patients, that will permit to optimize organization of medical care rendering.